instED Mobile Health Coordinator - Oregon ONLY

Commonwealth Care Alliance (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed care organization with over 2 million members across multiple states, CCA serves individuals enrolled in Medicaid and Medicare in Massachusetts through the Senior Care Options and One Care programs and its care delivery enterprises. CCA is dedicated to delivering comprehensive, integrated, and person-centered care, powered by its unique model of uncommon care, which yields improved quality outcomes and lower costs of care.

• Answer incoming phone calls in a timely manner using a cloud-based platform.
• Collect accurate patient information and document in the instED NOW platform and Athena medical record to process an instED referral.
• Collect, review, and accept written consent from patients, upload consents from paramedics.
• Verify patient eligibility using instED NOW, Athena, or external payor portals.
• Collect payment(s) from patients (e.g., copay, co-insurance).
• Assign visits to one of instED's ambulance partners based on geography and availability; collaborate with nursing staff to prioritize high acuity patients.
• Communicate with the dispatchers from the ambulance partners to facilitate throughput of instED visits; convey clinical concerns/questions to the nursing team.
• Maintain awareness of all ambulance partner vehicle's status and location.
• Call patients if mobile health providers are unable to reach patients with an updated ETA; escalate to the nursing team when patients cannot be reached via phone.
• Make recommendations to improve the instED NOW platform.
• Monitor that VMC providers are checked in and out of instED NOW in a timely manner and outreach to them if this does not occur.
• Monitor VMC auto-assignments and manually re-assign if needed when a VMC provider is nearing the end of shift and cannot complete a visit.
• Complete an end of shift report before logging off at the end of a shift.
• Ensure that mobile health providers have completed all documentation by the end of their shift and outreach to the paramedic partner when there is outstanding documentation.
• Perform any other job related duties as requested.

• High School or GED required
• Associates degree preferred
• Five (5) years professional work experience in a healthcare setting with at least one (1) year of remote work experience required
• Customer service experience via phone communications, preferably in a health care call center setting interacting with patients required
• Process improvement experience required
• Experience working closely with colleagues at all levels of a company including front-line staff to senior leaders required
• Medical assistant, or other related experience in an urgent care, emergency or home care setting preferred
• Administrative support to clinicians in healthcare setting preferred
• 911 Telecommunicator or Emergency Medical Dispatcher Certification preferred
• Mobile integrated health experience preferred

• Ability to communicate effectively without judgment to a diverse patient population while demonstrating empathy
• Highly adaptable to frequent workflow changes in a fast-paced environment
• Willing to learn and utilize several different software applications (e.g., proprietary instED NOW platform, Teams, etc.)
• Proficient with Microsoft Outlook
• Superb verbal communication skills and strong written communication skills
• Computer and phone system proficiency (e.g., Ring Central or other cloud communications platform)
• Power BI or other business intelligence software knowledge preferred
• Proficient in Excel preferred
• Process improvement training (e.g., lean, six sigma, etc.) preferred
• Medical terminology preferred
• Athena (electronic medical record) knowledge preferred
• Bilingual (Spanish), bicultural preferred

• None

• General office environment; may be required to sit or stand for extended periods of time
• Must be willing to work weekends, evenings, and holidays
• Travel is not typically required

Compensation Range:
$41,200.00 - $66,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type:
Hourly

Competencies:
- Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.